Facilitating psychiatric nurses' advocacy for mental healthcare users' human rights in a primary healthcare setting: a conceptual framework.
Advocacy
Conceptual framework
Facilitate
Human rights
Mental healthcare users
Psychiatric nurses
Journal
BMC nursing
ISSN: 1472-6955
Titre abrégé: BMC Nurs
Pays: England
ID NLM: 101088683
Informations de publication
Date de publication:
12 Oct 2024
12 Oct 2024
Historique:
received:
05
08
2024
accepted:
04
10
2024
medline:
13
10
2024
pubmed:
13
10
2024
entrez:
12
10
2024
Statut:
epublish
Résumé
Even though human rights advocacy is a part of mental health care, psychiatric nurses in South Africa's primary healthcare (PHC) setting face substantial challenges when advocating for the rights of mental health care users (MHCUs). The study aimed to develop a conceptual framework to facilitate psychiatric nurses' advocacy for mental healthcare users' human rights in a PHC setting. A qualitative, exploratory, descriptive, and contextual design was used to investigate the psychiatric nurses' experiences advocating for MHCUs' human rights in a PHC setting. Three phases were followed: the empirical phase, the classification of concepts, and a development phase. Following the empirical phase, a conceptual framework was developed to facilitate psychiatric nurses' advocacy for MHCUs human rights in a PHC setting. Three themes were derived from focus group interviews with psychiatric nurses in the empirical phase. These themes yielded the central concept as 'the facilitation of empowerment' of psychiatric nurses in advocating for MHCUs' human rights. The central concepts were also classified. A conceptual framework was developed that included the relationship, working and termination phases. The study described the development of a conceptual framework to facilitate psychiatric nurses' advocacy for mental healthcare users' human rights in a PHC setting. Psychiatric nurses play a key role in advocating for the human rights of MHCUs. This task is important and should be implemented from the government to the societal level, including all stakeholders.
Sections du résumé
BACKGROUND
BACKGROUND
Even though human rights advocacy is a part of mental health care, psychiatric nurses in South Africa's primary healthcare (PHC) setting face substantial challenges when advocating for the rights of mental health care users (MHCUs). The study aimed to develop a conceptual framework to facilitate psychiatric nurses' advocacy for mental healthcare users' human rights in a PHC setting.
METHODS
METHODS
A qualitative, exploratory, descriptive, and contextual design was used to investigate the psychiatric nurses' experiences advocating for MHCUs' human rights in a PHC setting. Three phases were followed: the empirical phase, the classification of concepts, and a development phase. Following the empirical phase, a conceptual framework was developed to facilitate psychiatric nurses' advocacy for MHCUs human rights in a PHC setting.
RESULTS
RESULTS
Three themes were derived from focus group interviews with psychiatric nurses in the empirical phase. These themes yielded the central concept as 'the facilitation of empowerment' of psychiatric nurses in advocating for MHCUs' human rights. The central concepts were also classified. A conceptual framework was developed that included the relationship, working and termination phases.
CONCLUSION
CONCLUSIONS
The study described the development of a conceptual framework to facilitate psychiatric nurses' advocacy for mental healthcare users' human rights in a PHC setting. Psychiatric nurses play a key role in advocating for the human rights of MHCUs. This task is important and should be implemented from the government to the societal level, including all stakeholders.
Identifiants
pubmed: 39395986
doi: 10.1186/s12912-024-02405-x
pii: 10.1186/s12912-024-02405-x
doi:
Types de publication
Journal Article
Langues
eng
Pagination
747Informations de copyright
© 2024. The Author(s).
Références
Cachola J, Quotes. 2023. https://www.humanrightscareers.com/issues/quotes-about-advocacy/ Accessed 22 February 22 2023.
World Health Organization (WHO). Advocacy for Mental Health. WHO mental health policy and service guidance package. https://www.who.int/publications/i/item/9241546468 (2003). Accessed 22 February 2023.
Rai-Atkins A. (2002). Best practices in mental health advocacy for African, Caribbean and South Asian communities. UK: The Policy Press. Rai-Atkins A. Best practice in mental health-Advocacy for African, Caribbean and South Asian communities.2002.
Ferleger D. Loosing the chains: in-hospital civil liberties of mental patients. Santa Clara Lawyer (1961). 1973;13(3):447–500.
pubmed: 11664354
Tracy N. (2018). ‘The History of Mental Illness’. https://www.healthyplace.com/other-info/mental-illness-overview/the-history-ofmental-illness
Kleintjies S, Lund C, Swartz L. Organizing self-advocacy in mental health: experiences from seven African countries. Afr J Psychiatry. 2013;187–95.
Funk M, Minoletli A, Drew N, Taylor J, Saraceno B. Advocacy for mental health: roles for consumer and family organisations and governments. Health Promot Int. 2006;21(1):70–5.
doi: 10.1093/heapro/dai031
pubmed: 16344283
World Health Organization. Comprehensive Mental Health Action Plan 2013–2020. Geneva: World Health Organization. 2013. http://apps.who.int/gb/ebwha/pdf_files/WHA66/A66_R8-en.pdf
Mental Health Care. Act 17 of 2002 [Internet]. Cape Town: Government Gazette. [Cited 2023 12 October]. https://www.gov.za/sites/default/files/gcis_document/201409/a17-02.pdf
Mfoafo-M’Carthy M, Huls S. Human rights violations and mental illness implications for engagement and adherence. Sage Journals; 2014. pp. 1–18.
Mann SP, Bradley VJ, Sahakian BJ. Human rights-based approaches to mental health: a review of programs. Health Hum Rights. 2016;18(1):263.
Hudson CG. Socioeconomic status and mental illness: tests of the social causation and selection hypotheses. Am J Orthopsychiatry. 2005;75(1):3–18. https://doi.org/10.1037/0002-9432.75.1.3 .
doi: 10.1037/0002-9432.75.1.3
pubmed: 15709846
World Health Organization. Guidance on community mental health services: promoting person-centred and rights-based approaches. Guidance and technical packages on community mental health services: promoting person-centred and rights-based approaches). Geneva: World Health Organization; 2021. Licence: CC BY-NC-SA 3.0 IGO.
World Health Organization. Mental health, human rights and legislation: guidance and practice. Geneva: World Health Organization and the United Nations (represented by the Office of the United Nations High Commissioner for Human Rights), 2023. Licence: CC BY-NC-SA 3.0 IGO.
Burns JK. The mental health gap in South Africa: a human rights issue. Equal Rights Rev. 2011;6(99):99–113.
National Mental Health Policy Framework and Strategic Plan. National Mental Health Policy and Strategic Plan for South Africa 2013–2020. Pretoria. Government Printers National Empowerment Centre; 2013.
Regulation R, 2598 of 2005 as amended by R260 of 1991. Regulation relating to the scope of practice of persons who are registered or enrolled under the Nursing Act 50 of 1978 as amended. [internet] South African Nursing Council. [cited 2024 23. May]. Pretoria. Government Printers. https://www.sanc.co.za/r-2598/
National Health Care Act 61 of 2003. [Internet]. Cape Town: Government Printers. [Cited 2024 23 May]. https://www.gov.za/sites/default/files/gcis_document/201409/a61-03.pdf
Dybicz P, Hall C. (2021). An introduction to the postmodern paradigm: Relevance for social work practice. Available at SSRN 3903183.
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–57. https://doi.org/10.1093/intqhc/mzm042 .
doi: 10.1093/intqhc/mzm042
pubmed: 17872937
Papakitsou V. Qualitative research: narrative approaches in sciences. Dialogues Clin Neurosci Mental Health. 2020;3(1):63–70.
Polit DF, Beck CT. Nursing research: Generating and assessing evidence for nursing practice. 17th ed. China: Lippincott Williams & Wilkins; 2017.
Regulation R. of 1985 as amended by the R753 of 1988. Regulation relating to the approval and the minimum requirements for the education and training of a nurse. [Internet]South African Nursing Council. [cited 2024 23. May]. Pretoria: Government Printers. https://www.sanc.co.za/r-425/
Brown SJ. Evidence-based nursing: the Research-Practice connection. 2nd ed. Burlington: Jones & Bartlett Learning; 2014.
Dilshad MR, Latif IM. Focus Group Interview as a Tool for qualitative research: an analysis. Pakistan J Social Sci. 2013;33(1):191–8.
Phillippi J, Lauderdale J. A guide to Field Notes for qualitative research: Context and Conversation. Qual Health Res. 2018;28(3):381–8.
doi: 10.1177/1049732317697102
pubmed: 29298584
Creswell, J. W., & Creswell, J. D. (2022, November 15). Research Design. SAGE Publications.http://books.google.ie/books?id=Pr2VEAAAQBAJ&dq=978-1071817940&hl=&cd=1&source=gbs_api
Creswell JW. Research Design: qualitative, quantitative and mixed methods. 4th ed. USA: Sage; 2014.
Dhai A, McQuoid-Mason DJ. (2020, October 13). Bioethics, Human Rights and Health Law 2e. http://books.google.ie/books?id=JWV8zgEACAAJ&dq=978070 2180521&hl=&cd = 1&source = gbs_api.
Makhale ME. (2020) [Internet] Strategies to facilitate advocacy for human rights of mental health care users by psychiatric nurses. [Cited n.d.] University of Johannesburg; 2020. https://ujcontent.uj.ac.za/esploro/outputs/doctoral/Strategies-to-facilitate-advocacy-for-the/9913807807691
Dickoff J, James P, Wiedenbach E. Theory in a practice discipline- part 1: practice Orientated Theory. Nurs Res. 1968;17(5):415–30.
doi: 10.1097/00006199-196809000-00006
pubmed: 5186886
Verlade O. (2019). The meaning of shapes and how to use them creatively in your designs. Shapes and Symbols of the Digital Generation. visme.co/blog/geometric-meanings/ (Accessed 28 May 2020).
Mcleod O. Maslow’s Hierarchy of needs. 2024. https://www.simplypsychology.org/maslow.html . Accessed 23 May 2024.
Deckers L. Motivation: Biological, Psychological, and Environmental. 5th ed. Routledge; 2018.
Tay L, Diener E. Needs and subjective well-being around the world. J Personal Soc Psychol. 2011;101(2):354–65. https://doi.org/10.1037/a0023779 .
doi: 10.1037/a0023779
Uriel A. Be yourself! How am I not myself? II. Society and politics: between Essentialist and Existentiality authenticity. Society. 2017;54(6):530–2. https://doi.org/10.1007/s12115-017-0183.0 .
doi: 10.1007/s12115-017-0183.0
Empowered by color (n.d.) Color yellow, turquoise. Available at: facebook.com/pages /category/ReferenceWebsite/Empowered-By-Color-164004417096925 (Accessed 27 May 2020).
Dalrymple J, Boylan J. Effective advocacy in social work. Sage Publications Inc; 2013.
Bourn J. (2020, June 24). The meaning of color grey. Retrieved December 8, 2023, from https://www.bourncreative.com/meaning-of-the-color-grey
Cooper H. Research synthesis and meta-analysis. Volume 5. United States of America: SAGE Publications Inc; 2017.
Color Wheel Pro. (2015). Color meaning. Retrieved August 3, 2017, from http://www.colorwheelpro.com/color-meaning.html
Cranley LA, Cummings GG, Profetto-McGrath J, Toth F, Estabrooks CA. Facilitation roles and characteristics associated with research use by healthcare professionals: a scoping review. BMJ open. 2017;7(8):e014384. https://doi.org/10.1136/bmjopen-2016-014384 .
doi: 10.1136/bmjopen-2016-014384
pubmed: 28801388
pmcid: 5724142
University of Johannesburg. Theory for Health Promotion in nursing. Johannesburg: Department of Nursing Science; 2017.
Fluent TE, Kuebler J, Deneke DE, Himle JA. (2013). How best to engage patients in their psychiatric care. Current Psychiatry, pp 22–36.
Tlhowe TT, Du Plessis E, Koen MP. (2017). Strengths of families to limit relapse in mentally ill family members. Health SA Gesondheid. 22(2017):28–35 Accessible at: https://doi.org/10.1016/jhsag.2016.09.003
Olasoji M, Maude P, McCauley K. Not sick enough: experiences of carers of people with mental illness negotiating care for their relatives with mental health services. J Psychiatric Mental Health Nurs. 2017;24(6):403–11. https://doi.org/10.1111/jpm.12399 .
doi: 10.1111/jpm.12399
Middleton L. Mental Health nursing. A South African perspective. 7th ed. Cape Town, Juta & Company Ltd; 2020.
WHO-AIMS. Report on Mental Health Systems in South Africa. WHO and Department of Psychiatry and Mental Health. Cape Town: University of Cape Town; 2007.
Anderson CD. (2017, March 16). Five South African Human Rights NGOs you should know about. Brand South Africa. Retrieved December 8, 2023, from https://www.brandsouthafrica.com/governance/services/rights/human-rights-ngos180316
Ornelas J, Vargas-Moniz M, Duarte T. Community psychology and Social Change: A Story from the field of Mental Health in Portugal. Global J Community Psychol Pract. 2010;1(1):21–31.
Understanding the meaning of colors in. psychology (n.d). Color turquoise. Available at empower https://www.empower-yourself-with-color-psychology.com/meaning-of-colors.html . (Accessed 25 May 2020).
Hogan C. Practical facilitation: a toolkit of techniques. Kogan Page; 2003.
Muller M. Nursing Dynamics. 4th ed. Sandton: Heinemann Publishers (PTY); 2009.
Basit G, Duygulu S. Nurses’ organisational trust and intention to continue working at hospitals. Turk Collegian. 2018, April;25(2):163–9. https://doi.org/10.1016/j.colegn.2017.05.003 .
Cherry K. (2019). Types of Nonverbal Communication. Verywellmind. Retrieved January 11, 2020, from https://www.verywellmind.com/types-of-nonverbal-communication-279539
Corrigan PW, Watson AC. Understanding the impact of stigma on people with mental illness. World Psychiatry: Official J World Psychiatric Association (WPA). 2002;1(1):16–20.
BBC News. (2018, November 21). Bristol students protest at mental health crisis. Retrieved May 31, 2020, from https://www.bbc.com/news/uk-england-bristol-46293109
Saha G. Advocacy in mental health. Indian J Psychiatry. 2021;63(6):523–6. https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_901_21 .
doi: 10.4103/indianjpsychiatry.indianjpsychiatry_901_21
pubmed: 35136247
pmcid: 8793719
American Hospital Association. (2014). Managing an intergenerational workforce: Strategies for health care transformation. Retrieved December 8, 2023, from https://www.aha.org/ahahret-guides/2014-01-01-managingintergenerational-workforce-strategieshealth-care
Institute of Medicine (IOM). The future of nursing: leading change, advancing health. National Academies; 2011.
Webster D, Willey A, Seldomridge L. Advocacy, collaboration, & conflict management: teaching core skill sets in mental health nursing. J Psychosocial Nurs Mental Health. 2020;12(4):259–64. https://doi.org/10.3928/02793695-20210427-01 .
doi: 10.3928/02793695-20210427-01
International Council of Nurses. (2012). The ICN code of ethics for nurses. https://www.icn.ch/sites/default/files/inline-files/2012_ICN_Codeofethicsfornurses_%20eng.pdf
Falk NL, Taylor-Schiller C. Influencing Mental Health and Well-Being of older adults through advocacy: beyond the Bedside. J PsychoSoc Nurs Ment Health Serv. 2019;57(7):13–5. https://doi.org/10.3928/02793695-20190612-03 .
doi: 10.3928/02793695-20190612-03
pubmed: 31268552